1302 St Andrew Blvd - Inspection Form
Reside tial Sanitary Sewer -
City I li Compliance Inspection
__l Record Number)
Date_~ II Time , 21'; pm
Disk # !i; I , r Time 3 i.. y Q m
Name 9~~_, f ~ f I ~'I JI
PID Number
Y 5 /
!-louse Number Street Name ~ ~ ~ - i if1 ✓ ~ i
"f t µ r r° . `
Alter•n ~ye Mailing Address Phone -K-,
Signature
Ownerl0crupant~S~ignature For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
X No foundation drain connection O Clear water connections to Unable to push past O No one in
Al sanitary sewer feet O Access to service
No roof drain connection
O Service lateral defects lateral needed
Sump pit not connected to 0 Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer,
`O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks- ! Entered S L at
Roots _
Poor Pipejoints - _
Mineral Deposits
fSaglPipe Deflection _
Damaged Pipe
Transition ~ -
•y ~ f ¢ ~r
4" to 6" Transition: Length of Service: Final Cleanout:
Notes
L Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps*-
Foundation drains u
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SPH
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